HomeMy WebLinkAboutXR2024-0469 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application orEs�am
r Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL c.,oa�•'
Building I- Grading rDrainage r,,Elec rMech
NPlum CuvdcutcuvdFill I CD
Project Address (Not mailing address) I_ Flood
j- Fire r Liq r Landslide rN/A Floor Suite No
GdrNA 4— 4f-t vt £ I N�Laja'FT
Description of Work
Use .Sr f1' Const Type a
# Stories # Units (if Res)
New/Add SF Remodel SFFE-yo Garage/New/Add F_
Valuation $
Material/Labor �otQICJ
OWNER'S NAME Last �
' ~ 6
First 'pi(
Owner's Address
_
Owner's E-mail Address
City N�U='A d- State ��
Zip q'Z(.� 3 Telephone q 7, 7 67bg
APPLICANT'S NAME Last f�t_�Ai
First I &.
Applicant's Address
Applicant's E-mail Address
4-ls4-3T� A,13&- ALE
1�5 6a� C-htAFC. • 6KW-1
City ���{!� )`-(�- State
Zip 7_7 Telephone ,b•S 7'
ARCHITE /DESIGNER' NAME Lasts(
First Ij�p,�{" Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
Z` Lo r r A 4is
j 5a-.H4F4 ( i7L G=
City M*F,!sk State l4-
Zip I 9_f..,z7 Telephone 6rj.'�-•3.1,.�.st_
ENGINEER'S NAME Last n {
First _c �3 _(;r Lic. No. '. 15Z2�'q
Engineer's Address _
Engineer's E-mail Address
l S'z� �$o�( x� �5
�°(o p( rc� �Qx �NEr. 60M
City I <,,r%k,13A-- State I
Zip 1 9 '705- Telephone -7(,t,L(72•0$'J
CONTRACTOR'S NAME/COMPANY
Lic. No. F Classr- —
Contractor's Address
Contractor's E-mail Address
City I— State I—
Zip F_ Telephoned
SETBACKS REAR SETBACKS FRONT
PERMIT NO. x �2 0.,5F&q - D `I 6�
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK N0. k?CZX5't Lf - 03 6
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $